| NPI | 1831393727 |
|---|---|
| Doing Business As | PRAIRIE PATH FOOT AND ANKLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MISTY MCNEILL Dpm 630-834-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016-005059) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2019-08-22 |